Organization
TWIN CITIES MEDICAL EQUIPMENT LLC
Active
Organization
TWIN CITIES MEDICAL EQUIPMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH NEWCOMER MD (MEMBER)
(309) 825-0797
Entity
Organization
Contact information
Practice address
1111 TRINITY LN, BLOOMINGTON, IL 61704-8111
(309) 663-6461
Mailing address
3107 FIONA WAY, BLOOMINGTON, IL 61704-7011
(309) 825-0797
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
036078056
IL
Other
Enumeration date
10/17/2017
Last updated
10/17/2017
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